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Abductor Reconstruction with Gluteus Maximus Transfer in Primary Abductor Deficiency during Total Hip Arthroplasty

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초록

Abductor deficiency in native hip joint may cause severe limping and pain. It is more serious situation in case of arthroplasty due to instability and recurrent dislocation. Well-known causes of abductor deficiency are repeated surgery, chronic trochanteric bursitis, superior gluteal nerve injury, failure of repair of abductor tendon insertion to the greater trochanter. Author had experienced primary abductor deficiency during total hip replacement and treated successfully with the transfer of gluteus maximus. We’d like to introduce the operation technique with the review of literature.

Abstract

Abductor deficiency in native hip joint may cause severe limping and pain. It is more serious situation in case of arthroplasty due to instability and recurrent dislocation. Well-known causes of abductor deficiency are repeated surgery, chronic trochanteric bursitis, superior gluteal nerve injury, failure of repair of abductor tendon insertion to the greater trochanter. Author had experienced primary abductor deficiency during total hip replacement and treated successfully with the transfer of gluteus maximus. We’d like to introduce the operation technique with the review of literature.

참고문헌 (9)

  1. Gottschalk F, "The functional anatomy of tensor fasciae latae and gluteus medius and minimus", J Anat, 166, pp.179~189 (1989)
  2. Davies H, "Surgical repair of chronic tears of the hip abductor mechanism", Hip Int, 19, pp.372~376 (2009)
  3. Bird PA, "Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome", Arthritis Rheum, 44, pp.2138~2145 (2001)
  4. Baker AS, "Abductor function after total hip replacement. An electromyographic and clinical review", J Bone Joint Surg Br, 71, pp.47~50 (1989)
  5. Daly PJ, "Operative correction of an unstable total hip arthroplasty", J Bone Joint Surg Am, 74, pp.1334~1343 (1992)
  6. Fehm MN, "Repair of a deficient abductor mechanism with Achilles tendon allograft after total hip replacement", J Bone Joint Surg Am, 92, pp.2305~2311 (2010)
  7. Kohl S, "Hip abductor defect repair by means of a vastus lateralis muscle shift", J Arthroplasty, 27, pp.625~629 (2012)
  8. Whiteside LA, "Surgical technique : Transfer of the anterior portion of the gluteus maximus muscle for abductor deficiency of the hip", Clin Orthop Relat Res, 470, pp.503~510 (2012)
  9. Whiteside LA, "Surgical technique : Gluteus maximus and tensor fascia lata transfer for primary deficiency of the abductors of the hip", Clin Orthop Relat Res, 472, pp.645~653 (2014)

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